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Wade Folske

Treating IT Band Syndrome with Active Release Technique

Active Release Technique (ART) is a hands-on soft tissue treatment that can be an effective option for addressing IT band syndrome. IT band syndrome involves inflammation as a result of tightness/repetitive friction of the iliotibial band, which runs along the outer thigh from the hip to the shin. This condition causes lateral knee pain that is often aggravated by activities like running, cycling, and hiking.

How ART Treats IT Band Syndrome

ART focuses on locating and releasing adhesions, scar tissue, and dysfunction in muscles, tendons, ligaments, fascia, and nerves. For IT band syndrome, an ART provider uses their hands to apply precise tension along the iliotibial band and lateral quadricep, feeling for restrictive tissues.

As the tissues are engaged, the provider moves the affected body parts through patterns that help elongate the restricted tissues and restore proper mobility. ART sessions also incorporate stretching to retrain flexibility.

Key benefits of using ART for IT band syndrome include:

  • Breaking up scar tissue adhesions between the IT band and lateral quadricep muscle.

  • Restoring flexibility in the quad and proper sliding of the iliotibial band

  • Reducing inflammation and discomfort caused by friction of the ITB over the lateral condyle of the knee.

  • Releasing muscle trigger points if present in the quads or glute max.

  • Improving biomechanical function by restoring proper contraction of muscle and sliding of ITB.

Contact Performance Care Stretch Clinic for an assessment from a certified ART practitioner.





Comprehensive Treatment Approach

While ART can be effective at treating IT band tightness, it is often most successful as part of a comprehensive treatment plan. Other key components may include:

  • Stretching and strengthening exercises 

  • Activity modifications

  • Shoe inserts

  • Addressing biomechanical imbalances

  • Complementary therapies like massage

A specialist can help determine the appropriate treatments based on a thorough evaluation of posture, gait, strength, flexibility, and any other contributing factors.

Contact Performance Care Stretch Clinic for an assessment from a certified ART practitioner.

What To Expect with ART for IT Band Syndrome

ART sessions for IT band syndrome focus extensively on the lateral thigh region, but may also include tissues in the hip, knee, lower leg, foot, and core. The initial visits often concentrate on relief of muscle tension and restoring basic mobility before progressing to flexibility training.

During the ART treatment:

  • The provider will palpate along the IT band feeling for adhesions

  • Tension will be applied to engaged tissues as the leg is moved in specific patterns

  • Stretches may be incorporated after releasing restrictions

  • Patients may feel some discomfort as tissues are released

After properly administered ART sessions:

  • Inflammation and irritation should subside

  • Knee pain during activity should gradually improve

  • Flexibility and range of motion increases

  • Biomechanical function improves

The Bottom Line

When performed by a certified practitioner, Active Release Technique can successfully treat IT band tightness, pain, and dysfunction. Best results come from combining ART with proper at-home care, activity modifications, and a comprehensive therapeutic plan. Consistent treatment allows for the gradual restoration of flexibility and strength in the iliotibial band and associated muscles.

Contact Performance Care Stretch Clinic for an assessment from a certified ART practitioner.

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